Scoring systems for evaluating dietary pattern effect on serum cholesterol

Joseph T. Anderson, David R. Jacobs, Nedra Foster, Yolanda Hall, Dorothy Moss, Louise Mojonnier, Henry Blackburn

Research output: Contribution to journalArticlepeer-review

65 Scopus citations


Scoring systems are presented that indicate the power of a day's food for elevating serum cholesterol. The scores, based on the work of Keys, Anderson, and Grande, Circulation19, 201-214, 1959, fill a role analogous to calories in weight loss. The scores are based on saturated and polyunsaturated fat, cholesterol, and calories in the daily diet. Two of the scores, φ and B, are nearly equal in precision. Either may be used in research as a measure of the effect of habitual diet on the serum cholesterol of a population, small group, or individual. The third score presented, Dietary Achievement Score, is less precise but provides a simple, practical, clinical tool for quickly assessing dietary adherence and for teaching about serum cholesterol-lowering eating patterns on a portion-by-portion basis.

Original languageEnglish (US)
Pages (from-to)525-537
Number of pages13
JournalPreventive medicine
Issue number5
StatePublished - Sep 1979

Bibliographical note

Funding Information:
’ Supported in part by Public Health Service Research Grants HE 04401, HE 04997, HE 10194, and HL 00287 (to Jacobs). 2 To whom requests for reprints should be addressed: Laboratory of Physiological Hygiene, School of Public Health, University of Minnesota, Stadium Gate 27,611 Beacon St., S.E., Minneapolis, Minn. 55455. 3 Multiple Risk Factor Intervention Trial.


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